• Restaurant Number

  • Reason for visit

  • Restaurant Manager

  • Manager on Duty

  • Conducted on

  • Prepared by

Food Tastes Great

  • Burgers - Neatly assembled, in the correct packaging

  • Burgers - Burger is juicy, produce is crisp and the bread has a buttery toasted flavor

  • ***Burgers - Burgers are at least 125° F when delivered to the guest

  • Fries - Crispy, golden brown and with visible salt

  • ***Fries - Fries are at least 150° F when delivered to the guest

  • Beverages - Proper flavor, ice fill and full

  • Beverages - Coffee is at least 155° F when delivered to the guest

  • Beverages - All advertised beverages are available with no expired product

Order Accuracy

  • ***Guest receives what they ordered including correct product build, condiment(s), napkins, straw and receipt


  • Team Members can quickly answer basic menu questions

Consistent & Quick

  • All menu boards, OCS and speaker work and are in good repair with no missing numerals

  • Music can be heard playing in the dining room

  • All dine-in orders are served in a basket following current guidelines


  • ***Guest is greeted upon arrival

  • ***Team Members make an effort to be friendly through smiling and/or conversation without interrupting the guest

  • ***Guest is thanked for their visit

Neat & Well Groomed

  • Team Members are wearing clean, wrinkle-free Jack approved uniforms with a name tag, and shirts tucked into their pants

  • Hair is neat and pulled back with a hat/ visor


  • Dumpster area clean, lids and gates are closed, and no visible trash on the ground

  • Landscaping, garbage receptacles, parking lot, and drive-thru lane are free of debris and in good repair

  • ***Restroom sinks, changing tables, toilets and floors are clean or in the process of being cleaned

  • ***Restrooms are stocked with soap, paper towels, and toilet tissue

  • Tables, chairs and highchairs are clean or in the process of being cleaned

  • Floors are dry and clean or in the process of being cleaned; wet floor signs are being used properly.

  • Beverage station (and sauce bar If applicable) is cleaned and stocked with supplies or in the process of being cleaned/stocked

  • All kitchen areas in view of the guest are clean, organized and clutter free

Food Safety

  • ***Any Food Safety issues seen?

  • ***Does the PIC Know the 8 Criticals? (2-Front door , 4-Hand wash/Kitchen door & 2-Grill)

  • ***Is there a Serve Safe certificate ported by the Front Counter and PIC knows where is located?

  • ***Are the sanitizer buckets labeled, are there NON-EXPIRED test strips and solution meets correct strength (150-400 ppm)?

  • ***Is there a FULL set of back up tools in the store?

  • ***Take temps of ALL aquipments

  • ***Are tea liners tied, dated and trimmed (White tube)?

  • ***Check The last 5 days on the FSC; is it free of errors and all days have a signature showing it has been checked?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.